| LCA CASE NUMBER | I-200-20168-656672 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2020-06-16 |
| DECISION DATE | 2021-02-18 |
| ORIGINAL CERT DATE | 2020-06-23 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | SR TEST ENGINEER |
| SOC CODE | 15-1199.00 |
| SOC TITLE | Computer Occupations, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2020-10-25 |
| END DATE | 2023-10-24 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | LIBERTY MUTUAL TECHNOLOGY GROUP, INC. |
| EMPLOYER ADDRESS1 | 175 BERKELEY STREET |
| EMPLOYER ADDRESS2 | 175 BERKELEY STREET |
| EMPLOYER CITY | BOSTON |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 2116 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | MASSACHUSETTS |
| EMPLOYER PHONE | 18572246029 |
| NAICS CODE | 52421 |
| EMPLOYER POC LAST NAME | Attia |
| EMPLOYER POC FIRST NAME | Mary |
| EMPLOYER POC JOB TITLE | Global Mobility Consultant |
| EMPLOYER POC ADDRESS 1 | 175 BERKELEY STREET |
| EMPLOYER POC CITY | BOSTON |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 02116 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18572941426 |
| EMPLOYER POC EMAIL | Mary.Attia@libertymutual.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Curtis |
| AGENT ATTORNEY FIRST NAME | Josiah |
| AGENT ATTORNEY ADDRESS1 | 265 Franklin Street |
| AGENT ATTORNEY ADDRESS2 | Suite 502 |
| AGENT ATTORNEY CITY | Boston |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 2110 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16172979508 |
| AGENT ATTORNEY EMAIL ADDRESS | scboston@balglobal.com |
| LAWFIRM NAME BUSINESS NAME | Berry Appleman and Leiden LLP |
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | Massachusetts Supreme Judicial Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1001 4TH AVE |
| LCA CASE WORKLOC1 CITY | SEATTLE |
| WORKSITE COUNTY | KING |
| LCA CASE WORKLOC1 STATE | WA |
| WORKSITE POSTAL CODE | 98154 |
| LCA CASE WAGE RATE FROM | 113443 |
| LCA CASE WAGE RATE TO | 148800 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 113443 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | MENDL |
| PREPARER FIRST NAME | SUSAN |
| PREPARER MIDDLE INITIAL | L |
| PREPARER BUSINESS NAME | BERRY APPLEMAN & LEIDEN LLP |
| PREPARER EMAIL | SMENDL@BALGLOBAL.COM |
